| NPI | 1255621009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AR E-13077) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 58878) |
| 208600000X Surgery (Licence: AR E-13077) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: UT 10647025-1205) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2023-05-09 |