| NPI | 1689921496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TN 59433) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TN 59433) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2025-06-06 |