| NPI | 1568750552 |
|---|---|
| Former Name | RAGHUNANDAN VENKAT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MO 2018032438) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R72827) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2022-12-07 |