| NPI | 1891900783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01079264A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301087609) |
| 208600000X Surgery (Licence: WI 57033-20) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2018-03-17 |