| NPI | 1831280213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35049964) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35049964) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OH 35049964) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2021-05-16 |