NPI | 1013027374 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: KS 0423923) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MO MD100181) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2008-07-15 |