NPI | 1669629432 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MO 2012011177) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH 35.092323) |
208200000X Plastic Surgery (Licence: NY 2443861) | |
208200000X Plastic Surgery (Licence: IL 036111057) | |
208600000X Surgery (Licence: OH 35092323) | |
Enumeration Date | 2008-08-25 |
Last Update Date | 2013-02-05 |