| 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 |