NPI | 1790944478 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MD D78307) |
Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: MD D78307) |
Enumeration Date | 2008-06-06 |
Last Update Date | 2024-01-09 |