| NPI | 1942459664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IN 01069614A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036115199) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2022-10-20 |