| NPI | 1578766200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 02005662A) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OS014821) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2023-11-27 |