| NPI | 1275820870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: IN 01085236A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301099143) |
| 208600000X Surgery (Licence: IN 01085236A) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2023-09-25 |