NPI | 1811300817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01091291A) |
Additional Taxonomies | 208600000X Surgery (Licence: IA R-10033) |
208600000X Surgery (Licence: KY 52660) | |
208600000X Surgery (Licence: IN 01091291A) | |
2086S0102X Surgery, Surgical Critical Care (Licence: KY 52660) | |
2086S0127X Surgery, Trauma Surgery (Licence: MI 4301505625) | |
Enumeration Date | 2014-06-06 |
Last Update Date | 2023-10-10 |