NPI | 1871013912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35.151183) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35.151183) |
Enumeration Date | 2017-06-20 |
Last Update Date | 2024-10-14 |