| NPI | 1134207095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME174881) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01078675A) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 52780) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 230898) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-08-05 |