| NPI | 1619960549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 15210) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01092607A) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL PENDING) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2024-07-25 |