NPI | 1811094576 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G076581) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G076581) |
2086S0105X Surgery, Surgery of the Hand (Licence: CA G076581) | |
Enumeration Date | 2006-09-17 |
Last Update Date | 2014-01-27 |