| NPI | 1417935065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NV nv10134) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NV NV 10134) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2023-03-07 |