| NPI | 1841495611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01073451A) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 64004) |
| 2086S0127X Surgery, Trauma Surgery (Licence: GA 64004) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2023-03-07 |