| NPI | 1073578407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MI 4301074052) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301074052) |
| 208600000X Surgery (Licence: WI 47543) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301074052) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301074052) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2022-12-08 |