NPI | 1609877539 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: WI 35264) |
Additional Taxonomies | 208D00000X General Practice (Licence: WI 35264) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2022-11-02 |