| NPI | 1912380221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 77631) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01086267A) |
| 208600000X Surgery (Licence: MI 4301108382) | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2025-10-31 |