| NPI | 1780679050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01045231A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 1045231) |
| 208600000X Surgery (Licence: KY 28148) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2024-02-23 |