| NPI | 1417955063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OK 29518) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: UT 362930) |
| 208200000X Plastic Surgery (Licence: FL 99984) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL 99984) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OK 29518) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2013-06-13 |