| NPI | 1275637498 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01080492A) | 
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01080492A) | 
| 2086S0127X Surgery, Trauma Surgery (Licence: MO 2002012694) | |
| Enumeration Date | 2006-09-08 | 
| Last Update Date | 2025-02-17 |