| NPI | 1235590456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01070024A) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO DR.0067262) |
| 208D00000X General Practice (Licence: IN 01079024A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2024-08-05 |