NPI | 1336438704 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME121445) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME121445) |
Enumeration Date | 2011-04-06 |
Last Update Date | 2025-01-06 |