| NPI | 1164637070 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0129X (Licence: IN 01068076A) | 
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01068076A) | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01068076A) | |
| 208600000X Surgery (Licence: MI 4301080113) | |
| Enumeration Date | 2007-05-14 | 
| Last Update Date | 2022-08-02 |