| NPI | 1881088078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01090386A) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35145211) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2023-07-21 |