NPI | 1265687719 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MO 2013022097) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: KS 0436704) |
Enumeration Date | 2008-11-25 |
Last Update Date | 2013-08-09 |