| NPI | 1699769562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: VA 0101242331) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: VA 0101242331) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: VA 1010242331) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-02-04 |