| NPI | 1831400209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01080429A) |
| Additional Taxonomies | 208600000X Surgery (Licence: NE 28449) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2022-06-16 |