NPI | 1760464754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD044013E) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: PA R8F79) |
Enumeration Date | 2005-11-16 |
Last Update Date | 2008-03-13 |