NPI | 1275858961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A153745) |
Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: CA A153745) |
Enumeration Date | 2010-04-06 |
Last Update Date | 2024-10-05 |