| NPI | 1063538098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 38790) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: IN 01061952A) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2015-09-14 |