| NPI | 1922411628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL 159627) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 1295889970) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 1295889970) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CT 1295889970) | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: FL 159627) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL 159627) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: FL 159627) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2024-01-16 |