| NPI | 1235364951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 104399) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 104399) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D83145) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2025-07-31 |