| NPI | 1831235001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01023354a) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IN 01023354A) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2013-04-18 |