| NPI | 1972705663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: MO 20240009208) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD D72420) |
| 208200000X Plastic Surgery (Licence: MO 20240009208) | |
| 2082S0105X Plastic Surgery Surgery of the Hand (Licence: MD D72420) | |
| 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: MO 20240009208) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2024-07-15 |