| NPI | 1982868766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IN 01078358A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01078358A) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2021-11-16 |