NPI | 1336335306 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A84401) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A84401) |
Enumeration Date | 2007-09-24 |
Last Update Date | 2011-11-18 |