NPI | 1831351790 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TX Q6618) |
Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TX Q6618) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2022-06-21 |