| NPI | 1306841820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: IN 01039996A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01039996A) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2023-11-27 |