| NPI | 1689876526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: GA 72195) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: GA 72195) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2015-04-22 |