| NPI | 1396903555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IN 01071248A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 11013739a) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2024-03-18 |