NPI | 1083607378 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: KS 5102) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: KS 04-25277) |
Enumeration Date | 2005-08-23 |
Last Update Date | 2007-07-08 |