| NPI | 1154350759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN MD53242) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MD D63434) |
| 2086S0129X Surgery, Vascular Surgery (Licence: TN MD53242) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-03-23 |