| NPI | 1992704449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: GA 92824) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: IN 01068411A) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2022-08-30 |