NPI | 1780178830 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MN 76523) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MO 2018019819) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2024-10-21 |