| NPI | 1497160162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 273042) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MA 273042) |
| 208600000X Surgery (Licence: MA 259782) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MA 273042) | |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2024-08-19 |