NPI | 1871280164 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MN 78230) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MN 33688) |
Enumeration Date | 2023-04-18 |
Last Update Date | 2024-10-15 |