| NPI | 1912169996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01073762A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01073762A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11014456A) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2021-09-23 |