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 |