| NPI | 1811256134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WI 61651) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IN 01084021A) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2024-08-15 |