NPI | 1427037951 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: NH 10052) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MA 154434) |
Enumeration Date | 2006-01-12 |
Last Update Date | 2012-09-04 |