| NPI | 1053482141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME124502) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TN D0070559) |
| 208600000X Surgery (Licence: IN 01047400A) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 0104700A) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-10-24 |