| NPI | 1861650822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME136191) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IN 01068571A) |
| 208600000X Surgery (Licence: FL ME136191) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2021-03-25 |