| NPI | 1861559478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: HI MD15288) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OR 12928736) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OR 12928736) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2013-12-11 |