| NPI | 1952626590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01075310A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01075310A) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2019-05-30 |