| NPI | 1881763977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IN 01055809A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 10155809A) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2021-06-08 |