| NPI | 1447249214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 1902162) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NY 1902162) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2020-05-20 |