| NPI | 1033209606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TN 12709) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: AR E-4374) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AR E-4374) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2025-04-18 |