| NPI | 1417154329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MN 49945) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: MN 49945) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-12 |