| NPI | 1932397015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: IN 01062344A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01062344A) |
| Enumeration Date | 2007-10-14 |
| Last Update Date | 2020-12-15 |