| NPI | 1043436769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IN 02004473A) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IN 02004473B) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-08-17 |