| NPI | 1699799189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01089781A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI MD041083) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2023-05-04 |