| NPI | 1598828113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301407274) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MI 4301407274) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MI 4301407274) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |