| NPI | 1003267246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01093399A) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL39790) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2024-09-03 |