NPI | 1295831741 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA G71255) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G71255) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2022-06-08 |