NPI | 1710322573 |
---|---|
Former Name | BUSAYO BUKOLA IROJAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD474167) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT203543) |
208600000X Surgery (Licence: PA MD474167) | |
Enumeration Date | 2013-05-07 |
Last Update Date | 2023-01-10 |