NPI | 1891743712 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MI 4301066065) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MI 4301066065) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2025-09-11 |