| NPI | 1003178898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01078562A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301101178) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2023-09-20 |