| NPI | 1144488495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IN 01068126A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01068126A) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2022-05-25 |