NPI | 1861650822 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME136191) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: IN 01068571A) |
208600000X Surgery (Licence: FL ME136191) | |
Enumeration Date | 2008-05-27 |
Last Update Date | 2021-03-25 |