NPI | 1659343887 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC 2006-00438) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 2086S0122X) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2008-10-13 |