| NPI | 1114940038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD060210L) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01091403A) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01091403A) | |
| 208600000X Surgery (Licence: IN 01091403A) | |
| 208600000X Surgery (Licence: CA A-78561) | |
| 208600000X Surgery (Licence: NY 286592) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD060210L) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-10-03 |