| NPI | 1235163387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: GA 88774) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME149213) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IN 01040612A) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: LA 326590) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MS 28976) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NC 2021-01774) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TN 63212) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX T3701) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: VA 0101273475) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CO DR.0066224) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-06-03 |