NPI | 1306853916 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: GA GA 059253) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: PA MD429289) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2021-12-13 |