| NPI | 1770572349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01071700A) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 047134) |
| 174400000X Specialist (Licence: OH 35. 044044) | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2014-01-27 |