| NPI | 1942393731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A93359) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A93359) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA A93359) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-08-28 |