| NPI | 1750595112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01069982A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 99047503A) |
| 208600000X Surgery (Licence: PA MT186027) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2026-03-23 |