NPI | 1356306294 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CO 36316) |
Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CO 36316) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2019-11-21 |