| NPI | 1538161229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301113439) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IN 01044904A) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2023-11-27 |