NPI | 1306819461 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301054838) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MI ST054838) |
Enumeration Date | 2006-02-09 |
Last Update Date | 2015-04-06 |