NPI | 1144427311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: IA 40599) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036123411) |
Enumeration Date | 2007-06-29 |
Last Update Date | 2014-02-10 |