| NPI | 1235136151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME81351) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME81351) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2026-09-11 |