NPI | 1346342920 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MO 105827) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MO 105827) |
1223G0001X Dentist, General Practice (Licence: MO 014805) | |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MO 014805) | |
204E00000X Oral & Maxillofacial Surgery (Licence: MO 105827) | |
2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MO 105827) | |
208200000X Plastic Surgery (Licence: IL 036086950) | |
2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MO 105827) | |
2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MO 105827) | |
Enumeration Date | 2006-09-02 |
Last Update Date | 2018-02-22 |