NPI | 1467982082 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: RI MD19385) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: CT LP04089) |
Enumeration Date | 2017-06-15 |
Last Update Date | 2023-06-30 |