| NPI | 1427363449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IN 02004908A) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: DC DO034726) |
| 208200000X Plastic Surgery (Licence: WI 71983) | |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2022-10-14 |