| NPI | 1851679062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01077045A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 11016293A) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2024-02-21 |