| NPI | 1205944659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MS 13232) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IN 01096370A) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2025-05-02 |