NPI | 1316103799 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A141766) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A141766) |
Enumeration Date | 2008-08-05 |
Last Update Date | 2024-10-04 |