| NPI | 1467930867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: WI 73528) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: IN 11020251A) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2020-07-16 |