| NPI | 1497765200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME181471) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: MD D0058273) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MD D0058723) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D0058273) | |
| 208200000X Plastic Surgery (Licence: VA 0101274086) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: VA 0101274086) | |
| 208200000X Plastic Surgery (Licence: MD D58273) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: VA 0101274086) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: VA 0101274086) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2026-07-28 |