| NPI | 1598781718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MO 2000173749) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: MO 2000173749) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: MO 2000173749) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-04-25 |