| NPI | 1093713000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: SC 81992) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NC 39395) |
| 208200000X Plastic Surgery (Licence: NC NC39395) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2023-03-24 |