| NPI | 1669437299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MD D50361) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D50361) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2017-11-14 |