| NPI | 1750452884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: DE C1-0013342) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MA 217844) |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: MA 217844) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MA 217844) | |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2019-10-10 |