| NPI | 1306098439 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IN 01079316A) | 
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TX R4466) | 
| Enumeration Date | 2008-10-21 | 
| Last Update Date | 2020-09-29 |