| NPI | 1144359647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IN 01065313A) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: KY 39829) |
| 2086S0105X Surgery Surgery of the Hand (Licence: MO 2007012288) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2023-11-27 |