| NPI | 1447338959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CO DR.0067087) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A116449) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-11-10 |