| NPI | 1871527945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NH 7057) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: ME 011903) |
| 208200000X Plastic Surgery (Licence: CA C41323) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |