| 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 |