| NPI | 1568692770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC 2009-01837) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NC 2009-01837) |
| 208600000X Surgery (Licence: NC 2009-01837) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2023-12-18 |