| NPI | 1861455156 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0129X (Licence: IN 01072900A) | 
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01072900A) | 
| 2086X0206X Surgery, Surgical Oncology (Licence: IN 01072900A) | |
| Enumeration Date | 2006-04-09 | 
| Last Update Date | 2025-04-15 |