| NPI | 1184881641 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01066402A) | 
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: IN 01066402A) | 
| Enumeration Date | 2008-05-21 | 
| Last Update Date | 2021-02-05 |