NPI | 1861699506 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX P4722) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 269241) |
208600000X Surgery (Licence: NE 5159) | |
2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NY 269241) | |
2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 269241) | |
Enumeration Date | 2007-06-27 |
Last Update Date | 2022-08-25 |