| NPI | 1346331493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX J1621) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX J1621) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: TX J1621) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2016-11-21 |