NPI | 1083902332 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 264938) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 264938) |
Enumeration Date | 2011-07-20 |
Last Update Date | 2021-09-27 |