NPI | 1407044399 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: NV 13247) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: UT 6664375-1205) |
Enumeration Date | 2007-10-04 |
Last Update Date | 2012-08-09 |