NPI | 1417053620 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CT 033266) |
Additional Taxonomies | 174400000X Specialist (Licence: CT 033266) |
208200000X Plastic Surgery (Licence: CT 33266) | |
Enumeration Date | 2006-09-15 |
Last Update Date | 2024-08-14 |