NPI | 1699783290 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME50906) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL ME0050906) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2015-12-14 |