| NPI | 1942594023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME145183) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL ME145183) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MO 2018015028) | |
| 208200000X Plastic Surgery (Licence: FL ME145183) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2025-02-21 |