NPI | 1396751541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA G57467) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G57467) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2013-06-28 |