| NPI | 1336373828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301509615) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MO 2015021525) |
| 2082S0105X Plastic Surgery Surgery of the Hand (Licence: MO 2015021525) | |
| 208600000X Surgery (Licence: MO 2015021525) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2023-06-28 |