NPI | 1386661916 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MO R2P77) |
Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MO R2P77) |
2086S0127X Surgery, Trauma Surgery (Licence: MO R2P77) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2024-04-25 |