NPI | 1851403729 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX J9536) |
Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: TX J9536) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-01-18 |