NPI | 1942282389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: LA MD019937) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA MD019937) |
Enumeration Date | 2005-11-18 |
Last Update Date | 2011-04-29 |