| NPI | 1487821559 |
|---|---|
| Former Name | BRUCE JACKSON TAYLOR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NC 9901339) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NC 9901339) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2022-04-27 |