| NPI | 1275827826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 02003845A) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX S9359) |
| 2086S0127X Surgery, Trauma Surgery (Licence: TX S9359) | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2023-09-13 |