| NPI | 1669651790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01064451A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01064451A) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2021-06-11 |