| NPI | 1891807335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: ME 018739) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: ME 018739) |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: ME 018739) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: ME 018739) | |
| 208600000X Surgery (Licence: ME 018793) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: ME 018739) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-01-02 |