| NPI | 1104271782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ME MD30744) |
| Additional Taxonomies | 208600000X Surgery (Licence: ME MD30744) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 69235) | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2026-07-23 |