| NPI | 1225711914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant (Licence: CA 24473) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: CA 24-473) |
| 246XC2901X Specialist/Technologist Cardiovascular Cardiovascular Invasive Specialist (Licence: CA 24-473) | |
| 246XC2903X Specialist/Technologist Cardiovascular Vascular Specialist (Licence: CA 24-473) | |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-09 |