| NPI | 1699180950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01084504A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.065047) |
| 208600000X Surgery (Licence: CA A162396) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2026-03-23 |