NPI | 1225098882 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD034789E) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD034789E) |
Enumeration Date | 2006-03-27 |
Last Update Date | 2012-09-24 |