| NPI | 1508819210 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IN 01048031A) | 
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IN 01048031A) | 
| Enumeration Date | 2006-05-17 | 
| Last Update Date | 2023-11-27 |