NPI | 1649581562 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MD MD175607) |
Additional Taxonomies | 208600000X Surgery (Licence: MD 0000000000) |
Enumeration Date | 2010-06-24 |
Last Update Date | 2018-03-02 |