| NPI | 1326300260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0100467) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01083042A) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2024-06-27 |