NPI | 1942469812 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME164026) |
Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL ME164026) |
Enumeration Date | 2008-06-05 |
Last Update Date | 2024-03-13 |