NPI | 1972772556 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CT 046819) |
Additional Taxonomies | 174400000X Specialist |
208600000X Surgery (Licence: CT 046819) | |
Enumeration Date | 2008-02-27 |
Last Update Date | 2016-03-09 |