NPI | 1841281227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 74194) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: NH 19264) |
Enumeration Date | 2005-11-03 |
Last Update Date | 2018-11-30 |