| NPI | 1720049299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OR MD14820) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR MD14820) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2013-10-09 |