NPI | 1245463058 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME153259) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 277916) |
Enumeration Date | 2009-08-27 |
Last Update Date | 2024-03-19 |