| NPI | 1477647220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101231636) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: VA 0101231636) |
| 208600000X Surgery (Licence: VA 0101231636) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TN 39708) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2026-06-09 |