| NPI | 1053471250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01047573A) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 266532) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 266532) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: NY 266532) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: NY 266532) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-04-17 |