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