| NPI | 1073808903 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 02007958A) | 
| Additional Taxonomies | 208600000X Surgery (Licence: OH 34.012115) | 
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 34.012115) | |
| Enumeration Date | 2011-06-20 | 
| Last Update Date | 2024-08-12 |