| NPI | 1982903712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TN 63568) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 63568) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: TN 63568) | |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2023-06-21 |