| NPI | 1568443125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CT 034457) |
| Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: CT 034457) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2017-10-13 |