| NPI | 1427094739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01065513A) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: AZ 33167) |
| 2086S0127X Surgery, Trauma Surgery (Licence: WI 48946) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2015-05-22 |