| NPI | 1922299098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CT 045607) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 045607) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2011-07-19 |