NPI | 1801867189 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 51106) |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MA 51106) |
Enumeration Date | 2006-01-27 |
Last Update Date | 2023-09-14 |