| NPI | 1457524522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IN 01059579A) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MN 51454) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2023-10-03 |