| NPI | 1770747602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IN 01074543A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01074543A) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2023-08-14 |