| NPI | 1265661383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01073898A) |
| Additional Taxonomies | 208600000X Surgery (Licence: WV 26510) |
| 208600000X Surgery (Licence: IN 01073898A) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WV 26510) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: WV 26510) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: IN 01073898A) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2022-10-10 |