| NPI | 1780837922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IN 01088200A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.121642) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036121642) | |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2024-01-02 |