| NPI | 1578057667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01100379A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125073249) |
| 208600000X Surgery (Licence: GA 11327) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2026-07-14 |