| NPI | 1760623417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CO DR.0059687) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CO DR.0059687) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2019-06-20 |