NPI | 1043521065 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CO DR.0062812) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: CO DR.0062812) |
Enumeration Date | 2010-06-24 |
Last Update Date | 2022-04-29 |