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 |