| NPI | 1285614032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301067433) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MI ES067433) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2022-02-25 |