| NPI | 1194177451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01088154A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R10725) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2023-04-28 |