| NPI | 1669437299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101285693) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101285693) |
| 207W00000X Ophthalmology (Licence: MD D50361) | |
| 208200000X Plastic Surgery (Licence: MD D50361) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2025-06-16 |