| NPI | 1457515645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A114568) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A114568) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: CA A114568) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2024-05-10 |