| NPI | 1578908992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01087775A) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 126957) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01087775A) | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2022-07-12 |