| NPI | 1700090602 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208600000X Surgery (Licence: IN 02003840A)  | 
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: IN 02003840A)  | 
| Enumeration Date | 2007-05-09 | 
| Last Update Date | 2025-07-22 |