NPI | 1326231937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: UT 8565087-1205) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A99699) |
Enumeration Date | 2007-08-27 |
Last Update Date | 2013-07-02 |