| NPI | 1992705297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME79778) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL ME79778) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2017-05-01 |