NPI | 1477673598 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CA 20A7188) |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA 20A7188) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2007-07-08 |