NPI | 1134397326 |
---|---|
Former Name | J. BEN HUGO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101048532) |
Additional Taxonomies | 174400000X Specialist (Licence: VA 0005250455) |
Enumeration Date | 2008-02-11 |
Last Update Date | 2021-08-24 |