| NPI | 1811195464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD440280) |
| Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: PA MD440280) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2022-03-29 |