| NPI | 1861479941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01058854A) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IN 10158854A) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2023-03-02 |