NPI | 1285114074 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: ZZ 115813) |
Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: ZZ 115813) |
2082S0105X Plastic Surgery, Surgery of the Hand (Licence: ZZ 115813) | |
208600000X Surgery (Licence: ZZ 115813) | |
2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: ZZ 115813) | |
208D00000X General Practice (Licence: ZZ 115813) | |
Enumeration Date | 2018-08-21 |
Last Update Date | 2018-08-21 |