| NPI | 1417193590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: NH 16990) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 11014662A) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2023-04-27 |