| NPI | 1952401267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD469353) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: PA MD469353) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MD D40009) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-04-09 |