| NPI | 1548232879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: IN 01068359A) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: VA 0101-048041) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2015-04-08 |