| NPI | 1508038357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01064820) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01064820A) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2011-09-26 |