NPI | 1902300312 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: OK 1902300312) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH 1902300312) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-20 |
Last Update Date | 2023-05-14 |