NPI | 1578765129 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX T2450) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: CO DR.0065846) |
208200000X Plastic Surgery (Licence: CA C197951) | |
208200000X Plastic Surgery (Licence: LA 303222) | |
Enumeration Date | 2007-06-05 |
Last Update Date | 2025-08-13 |