| NPI | 1447215678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD435632) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: NJ 25MA07782200) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: PA MD435632) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MA07782200) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: PA MD435632) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2021-03-26 |