| NPI | 1477622934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IN 01053296A) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: AL 26620) |
| 208200000X Plastic Surgery (Licence: TX P1857) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2018-04-19 |