| 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: AR E-13077) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2026-04-29 |