| NPI | 1154470466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01059134A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01059134A) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01059134A) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 198753-1) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-02-03 |