| NPI | 1730413717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01079048A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301106782) |
| 208600000X Surgery (Licence: PA mt196019) | |
| 208600000X Surgery (Licence: IL 036141186) | |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2023-08-22 |