| 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 |