| NPI | 1255594198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01074398A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 11014344A) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2023-11-27 |