| NPI | 1992916290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IN 01063124A) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH 35085939) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-12 |