| NPI | 1649263211 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01075971A) | 
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA07860600) | 
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD034626E) | |
| Enumeration Date | 2005-08-29 | 
| Last Update Date | 2016-07-21 |