| NPI | 1023275971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01067698A) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101265039) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2022-09-20 |