| NPI | 1225464324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 11017478A) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: IN 11017478A) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |