NPI | 1568890416 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01087271A) |
Additional Taxonomies | 208600000X Surgery (Licence: MN 25586) |
2086S0102X Surgery Surgical Critical Care (Licence: MO 2018017059) | |
Enumeration Date | 2013-10-30 |
Last Update Date | 2022-06-07 |