NPI | 1376658773 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CO DR.0059470) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: OR 17999) |
2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: OR MD17999) | |
2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OR MD17999) | |
Enumeration Date | 2006-08-19 |
Last Update Date | 2018-10-23 |