NPI | 1346443967 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX BP10041244) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301088748) |
Enumeration Date | 2007-06-10 |
Last Update Date | 2020-01-02 |