| NPI | 1942294376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WV 13531) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: WV 13531) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2009-03-12 |