| NPI | 1568458396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IA MD-28656) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IA MD-28656) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2024-01-11 |