| NPI | 1194725234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX J0036) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX J0036) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX J0036) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2024-12-17 |