| NPI | 1235173642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2012006733) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA 37854) |
| 208600000X Surgery (Licence: IA 37854) | |
| 2086S0129X Surgery Vascular Surgery (Licence: IA 37854) | |
| 2086S0129X Surgery Vascular Surgery (Licence: TN 39993) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-09-22 |