| NPI | 1558564658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 077941) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A111162) |
| 208600000X Surgery (Licence: IN 01064072A) | |
| 208600000X Surgery (Licence: KY 41092) | |
| 2086S0129X (Licence: IN 01064072A) | |
| 2086S0129X (Licence: KY 41092) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2022-07-21 |