| NPI | 1235329889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01072752A) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 04-35612) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ 82003) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2022-10-03 |