| NPI | 1336115716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2007-01695) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01055814A) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 2007-01695) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2024-04-18 |