NPI | 1437121340 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CO 43479) |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 232028) |
2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: GA 46245) | |
Enumeration Date | 2006-02-03 |
Last Update Date | 2007-07-09 |