| NPI | 1245323153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01066478A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301078176) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-02-03 |