| NPI | 1669442208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CO 40943) |
| Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: CO 40943) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2014-01-30 |