NPI | 1013476183 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: OK 45439) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A180496) |
Enumeration Date | 2019-03-18 |
Last Update Date | 2025-05-10 |