NPI | 1841588217 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35.123473) |
Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: OH 35.123473) |
2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OH 35.123473) | |
Enumeration Date | 2011-07-19 |
Last Update Date | 2014-07-10 |