| NPI | 1861543464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01045146A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01045146) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2013-05-21 |