NPI | 1396303103 |
---|---|
Other Name | ADRIAN CAMPOS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IA MD-52865) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 0000) |
Enumeration Date | 2019-06-05 |
Last Update Date | 2024-04-01 |