| NPI | 1609133354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 02004300A) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NV DO3193) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2025-01-29 |