| NPI | 1154641157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01092458A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD-44727) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2024-05-01 |