| NPI | 1053504183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 02004060A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101017407) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2014-02-08 |