NPI | 1659790376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA 129685) |
Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA 129685) |
Enumeration Date | 2014-04-09 |
Last Update Date | 2014-07-08 |