| NPI | 1700046737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AR E-17099) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: AR E-17099) |
| 208600000X Surgery (Licence: OK 26424) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2023-09-29 |