| NPI | 1982265484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: SC 94086) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OH 57.248135) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2025-09-02 |