NPI | 1972965820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 70948) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MI 4301505697) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-22 |
Last Update Date | 2023-12-19 |