| NPI | 1841233285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A44774) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA A44774) |
| 208600000X Surgery (Licence: CA A44774) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-04-13 |