| NPI | 1770560989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01055526) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: IN 01055526A) |
| 2086S0129X Surgery Vascular Surgery (Licence: IN 01055526A) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2016-01-20 |