NPI | 1972582021 |
---|---|
Other Name | TONY BREIT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: SD 5624) |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IA 34154) |
Enumeration Date | 2006-01-16 |
Last Update Date | 2011-06-20 |