NPI | 1992951883 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: SC 31158) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: SC 31158) |
208600000X Surgery (Licence: SC LL31158) | |
208600000X Surgery (Licence: SC 31158) | |
Enumeration Date | 2008-08-12 |
Last Update Date | 2023-10-30 |