NPI | 1902884299 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME82789) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: IA 31448) |
2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL ME82789) | |
Enumeration Date | 2006-01-06 |
Last Update Date | 2012-07-05 |