| NPI | 1881649366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WA MD60219945) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: AK 5785) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: AK 5785) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-10-25 |