NPI | 1699975342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01084289A) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX M9331) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 059743) | |
Enumeration Date | 2007-07-20 |
Last Update Date | 2020-09-30 |