| NPI | 1881861730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME164339) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NC 2007-01980) |
| 208200000X Plastic Surgery (Licence: NC 2007-01980) | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2024-02-16 |