| NPI | 1134213796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: IN 01031765A) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: MT 4581) |
| 204E00000X Oral & Maxillofacial Surgery (Licence: IN 01031765A) | |
| 208200000X Plastic Surgery (Licence: MT 4581) | |
| 208200000X Plastic Surgery (Licence: IN 01031765a) | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: MT 4581) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MT 4581) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IN 01031765A) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-12-31 |