| NPI | 1730149626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 223209) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: PA MD426379) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2013-07-11 |