NPI | 1891747341 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX P1836) |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX P1836) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2022-09-08 |