NPI | 1407015001 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: ND 20925) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MS 23151) |
Enumeration Date | 2008-06-09 |
Last Update Date | 2024-06-05 |