NPI | 1730292236 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: VA 0101259658) |
Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: NC 9901624) |
208200000X Plastic Surgery (Licence: NC 9901624) | |
2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NC 9901624) | |
Enumeration Date | 2006-08-17 |
Last Update Date | 2022-08-15 |