| NPI | 1336123249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.130739) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01051503A) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: IN 01051503A) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01051503A) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D38502) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2025-12-05 |