| NPI | 1699872705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01052161A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01052161A) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-05-22 |