| NPI | 1538425418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 02005647A) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: IN 02005647A) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2022-02-18 |