| NPI | 1548608219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX W1605) |
| Additional Taxonomies | 2086S0129X (Licence: IN 01086040A) |
| 2086S0129X (Licence: MA 290005) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 66870) | |
| 2086S0129X (Licence: CT 64213) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2026-03-20 |