| NPI | 1295778496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01021177A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01021177) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2024-01-04 |