| NPI | 1942256623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 5101006854) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 02001519A) |
| 208600000X Surgery (Licence: MI 5101006854) | |
| 208600000X Surgery (Licence: AZ 3898) | |
| 208600000X Surgery (Licence: VA 0102201501) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: IN 02001519A) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: MI 5101006854) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: AZ 3898) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: VA 0102201501) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 02001519A) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 3898) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0102201501) | |
| 208600000X Surgery (Licence: AL DO611) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: AL DO611) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL DO611) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2016-02-04 |