| NPI | 1801918040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX N7868) |
| Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: TX N7868) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2010-11-08 |