NPI | 1952357253 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D0038983) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD D0038983) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2010-06-16 |