NPI | 1942377924 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101266620) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: GA 046706) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-07-22 |