| NPI | 1639208747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01069928A) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01069928A) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2022-09-20 |