| NPI | 1962439414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01064858A) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 057577) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2025-05-13 |