| NPI | 1437165073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX H6365) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: TX H6365) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2009-08-11 |