| NPI | 1194288092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01095744A) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD489492) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2026-09-03 |