| NPI | 1548291859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TN 44745) |
| Additional Taxonomies | 2086S0105X Surgery Surgery of the Hand (Licence: TN 44745) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-07-10 |