| NPI | 1639451578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA 133552) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: IN 01076762A) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2024-04-10 |