| NPI | 1942377924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101266620) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: GA 046706) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: VA 0101266620) | |
| 208600000X Surgery (Licence: VA 0101266620) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: VA 0101266620) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2024-12-10 |