| NPI | 1215038112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101242034) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101242034) |
| 208600000X Surgery (Licence: VA 0101242034) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 2006-01403) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2025-03-10 |