| 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 |