NPI | 1295968840 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: CA G057473) |
Additional Taxonomies | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: CA G057473) |
Enumeration Date | 2009-08-31 |
Last Update Date | 2009-08-31 |