| NPI | 1215991146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01072696A) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD442981) |
| 2086X0206X Surgery, Surgical Oncology (Licence: FL ME87729) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2021-01-13 |