| NPI | 1891052676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D92441) |
| Additional Taxonomies | 208600000X Surgery (Licence: DC MTL000227) |
| 208600000X Surgery (Licence: IN 01080846A) | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2021-09-08 |