| NPI | 1467688879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01079893A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.134436) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11014829A) | |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2020-04-30 |