| NPI | 1790071280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IN 01082407A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301099184) |
| 208600000X Surgery (Licence: IN 01082407A) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2023-08-14 |