NPI | 1093813875 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 99022637) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: HI 12297) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2009018473) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2012-10-19 |