NPI | 1568448959 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: OR MD16080) |
Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: OR MD16080) |
Enumeration Date | 2005-12-19 |
Last Update Date | 2011-06-22 |