| NPI | 1083904312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: LA 321784) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IN 01085443A) |
| 208600000X Surgery (Licence: IN 01085443A) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2024-10-02 |