NPI | 1366754616 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NH 21850) |
Additional Taxonomies | 208600000X Surgery (Licence: CO DR.0071931) |
2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: IN 01080960A) | |
Enumeration Date | 2010-07-01 |
Last Update Date | 2024-01-04 |