| NPI | 1033261227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01079211A) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD068885-L) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MD D68115) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MD D68115) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD0688885L) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2021-01-20 |