| NPI | 1740710433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01097062A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 1018489) |
| 208600000X Surgery (Licence: IN 01097062A) | |
| 208600000X Surgery (Licence: OH 57.029336) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2025-09-04 |