| NPI | 1760703334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01078958A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01078958A) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2024-12-12 |