| NPI | 1376550335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01081657A) |
| Additional Taxonomies | 208600000X Surgery (Licence: NM 2000-233) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01081657A) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2025-02-17 |