| NPI | 1467455998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01076419A) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: IN 01076419A) |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2024-03-05 |