| NPI | 1386026862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01089201A) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TN 61170) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2023-03-23 |