NPI | 1932149135 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A68936) |
Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: TX M1755) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2012-10-25 |