NPI | 1912149469 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A142598) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 261828) |
Enumeration Date | 2009-03-30 |
Last Update Date | 2021-11-29 |