| NPI | 1316936263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 02004204A) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: OH 34-003517) |
| 208600000X Surgery (Licence: OH 34.003517) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2022-10-03 |