| NPI | 1235455270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01087751A) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A118137) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2022-08-15 |