| NPI | 1073564985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2007013977) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 36034) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: AZ 36034) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MO 2007013977) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2007013977) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2021-10-22 |