NPI | 1801933312 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101242102) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD D82897) |
208600000X Surgery (Licence: VA 0101242102) | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2023-11-18 |