NPI | 1851659981 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OH 35.146616) |
Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: KY 52137) |
390200000X Student in an Organized Health Care Education/Training Program | |
208200000X Plastic Surgery (Licence: KY 52137) | |
Enumeration Date | 2012-04-26 |
Last Update Date | 2023-01-04 |