| NPI | 1356362545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 35576) |
| Additional Taxonomies | 2086S0105X Surgery Surgery of the Hand (Licence: AZ 35576) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2022-11-18 |