NPI | 1437111085 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: NY 125039) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 125039) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2010-07-27 |