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 |