NPI | 1598895310 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME.136834) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: AL MD.31966) |
208200000X Plastic Surgery (Licence: TX N9523) | |
208200000X Plastic Surgery (Licence: KS 6453) | |
Enumeration Date | 2007-03-07 |
Last Update Date | 2020-08-28 |