NPI | 1881695195 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CO 41043) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: CO 41043) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2010-06-21 |