| NPI | 1447485768 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01076643A) | 
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IN 01076643A) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-17 | 
| Last Update Date | 2021-12-21 |