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 |