NPI | 1730373366 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A101130) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A101130) |
Enumeration Date | 2007-08-27 |
Last Update Date | 2019-10-04 |