| NPI | 1093764284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX G8228) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MS 15882) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX G8228) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 56743) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2023-08-23 |