NPI | 1437546264 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: SD 17839) |
Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MO 2020041696) |
2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IA MD-55790) | |
Enumeration Date | 2015-04-20 |
Last Update Date | 2025-10-01 |