| NPI | 1548903982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: ZZ 73378) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IN 01097166A) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2025-06-30 |