NPI | 1588127146 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NV 27738) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: NV 27738) |
Enumeration Date | 2019-04-10 |
Last Update Date | 2025-07-29 |