| NPI | 1679529960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD044077E) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: PA MD044077E) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-03-06 |