| NPI | 1891043956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01091337A) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101261822) |
| 208600000X Surgery (Licence: TX BP10034463) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: TN 56337) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: TX R8863) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: IN 01091337A) | |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2023-12-29 |