| NPI | 1962732156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301099535) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MI 4301099535) |
| 208200000X Plastic Surgery (Licence: TX BP20030011) | |
| 208600000X Surgery (Licence: MI 4301099535) | |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2011-09-06 |