| NPI | 1225243413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX Q7721) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01066472A) |
| 208600000X Surgery (Licence: MS 22460) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2016-08-09 |