| 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 |