| NPI | 1598848699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NH 15454) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NH 15454) |
| 208200000X Plastic Surgery (Licence: MA 232740) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2012-01-06 |