NPI | 1245428663 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101254386) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: GA 64331) |
208200000X Plastic Surgery (Licence: CA 52988) | |
2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: VA 0101254386) | |
Enumeration Date | 2007-10-10 |
Last Update Date | 2018-03-17 |