| NPI | 1194726950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: IN 01057472A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01057472A) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2022-10-17 |