NPI | 1790002954 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: DE C10012570) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: DE C1-0012570) |
208600000X Surgery (Licence: DE 1790002954) | |
Enumeration Date | 2010-04-28 |
Last Update Date | 2022-08-11 |