| NPI | 1083871511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01067215A) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 58038) |
| 208600000X Surgery (Licence: IL 036.174543) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2025-04-07 |