| NPI | 1588106546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX CE00008) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX 47746) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX 47145) | |
| 208600000X Surgery (Licence: TX BP10058532) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX 47746) | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2023-04-28 |