NPI | 1043530819 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MO 2022027107) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036.130308) |
208200000X Plastic Surgery (Licence: CA A129361) | |
Enumeration Date | 2010-06-03 |
Last Update Date | 2024-05-20 |