NPI | 1952517872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: TN 14833) |
Additional Taxonomies | 174400000X Specialist (Licence: TN 0000014833) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2009-12-01 |