| NPI | 1326156175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IN 01036286A) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MO 36503) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2010-02-22 |