| NPI | 1639514011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IN 01084252A) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: MN 65417) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2021-12-03 |