NPI | 1700315009 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: RI MD20302) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: RI LP03978) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2025-02-24 |