| NPI | 1467405084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ AZ13843) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: AZ AZ13843) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: AZ AZ13843) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AZ AZ13843) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-04-17 |