NPI | 1679558837 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL OS8006) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL OS8006) |
2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL OS8006) | |
2086S0105X Surgery, Surgery of the Hand (Licence: FL OS8006) | |
Enumeration Date | 2005-12-09 |
Last Update Date | 2021-01-26 |