NPI | 1477743094 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A94061) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A94061) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2013-07-19 |