| NPI | 1568562437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AR C-6211) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR C-6211) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-02-21 |