| NPI | 1548337371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX K4969) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CO DR41237) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AZ 31388) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G86799) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MO R2P38) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OH 35083728N) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: PA MD420779) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MA07715700) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WA MD00042000) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 226987) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MA 213586) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME87937) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036108321) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D0060528) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-01-04 |