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 |