| NPI | 1760923957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01091243A) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01091243A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-08-12 |