| NPI | 1396736807 |
|---|---|
| Former Name | BILLY JAMES VASILEFF |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI WV044693) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI WV044693) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2007-07-24 |