NPI | 1194985119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MT 26713) |
Additional Taxonomies | 208600000X Surgery (Licence: MT 26713) |
208600000X Surgery (Licence: OK 26473) | |
Enumeration Date | 2008-06-12 |
Last Update Date | 2022-10-04 |