NPI | 1972705663 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MD D72420) |
Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MD D72420) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2021-06-09 |