NPI | 1700866985 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME77501) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME77501) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2020-02-14 |