| NPI | 1982999314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MS 13262) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 13262) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 13262) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-09-28 |