| NPI | 1588822977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA md447645) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01062356A) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2013-08-01 |