| NPI | 1063453918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NV 14645) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NV 14645) |
| 2086S0127X Surgery, Trauma Surgery (Licence: NV 14645) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: NV 14645) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2022-05-15 |