| NPI | 1952536674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01074919) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01074919A) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2023-08-14 |