| NPI | 1356721567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: IN 02006817A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 02006817A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11018189A) | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2023-12-04 |