| NPI | 1801014055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD434568) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01063375A) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-11-18 |