NPI | 1447741806 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IA MD-51511) |
Additional Taxonomies | 208600000X Surgery (Licence: IA R-11140) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2023-07-03 |