| NPI | 1881703809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01066413A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI BP056021) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-11-16 |