NPI | 1043299555 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MN 30848) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: WI 60797-20) |
Enumeration Date | 2006-01-12 |
Last Update Date | 2021-03-11 |