NPI | 1851560312 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME108919) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL ME108919) |
Enumeration Date | 2008-02-28 |
Last Update Date | 2020-10-07 |