| NPI | 1518197326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WI 54970-20) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA A128002) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: WI 54970-20) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 54970-20) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2021-12-15 |