| NPI | 1982966149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IN 01086297A) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R73397) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2024-10-31 |