| NPI | 1265612899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: CA A92424) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A92424) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2014-06-13 |