| NPI | 1447579008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IN 01079846A) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A145678) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2022-08-12 |