| NPI | 1710041231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME95719) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: FL ME95719) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL ME95719) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME95719) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WI 47912) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036-103717) | |
| 208200000X Plastic Surgery (Licence: FL ME95719) | |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME95719) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-09-22 |