| NPI | 1841458726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A113034) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: AZ 41008) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2010-07-09 |