| NPI | 1265498257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01075767A) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35075304) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01075767A) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35075304) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-08-03 |