| NPI | 1033525662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IN 01083787A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 26201) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2023-05-04 |