| NPI | 1689698649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: GA 025122) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: GA 025122) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-02-19 |