| NPI | 1548619406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01088230A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.069118) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2022-08-31 |