| NPI | 1962935650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301112920) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01095294A) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2025-09-30 |