| NPI | 1821294588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01080921A) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA C204473) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2026-02-11 |