NPI | 1346448537 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A155358) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A155358) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2021-12-03 |