| NPI | 1932136801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OK 20612) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 20612) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: OK 20612) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2014-09-26 |