NPI | 1639263098 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI 5101015176) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MI 5101015176) |
2086S0127X Surgery, Trauma Surgery (Licence: MI 5101015176) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2021-04-06 |