| NPI | 1821251307 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IN 01068934A) | 
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01068934A) | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036134991) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 01068934A) | |
| Enumeration Date | 2008-07-06 | 
| Last Update Date | 2021-01-18 |