| NPI | 1437121860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01077212A) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR e7873) |
| 208600000X Surgery (Licence: OK 21488) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2021-01-06 |