| NPI | 1457545733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01068434A) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT186958) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2011-10-21 |