| NPI | 1295142453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: HI DOS-2075) |
| Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: MA 282554) |
| 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CO DR.0072833) | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2024-12-11 |