| NPI | 1881073054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01083251A) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 003685) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01083251A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2022-07-14 |