| NPI | 1609137322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TN 59252) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD AT2438946-S51) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MD AT2438946-S51) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2022-03-16 |