| NPI | 1235615907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 100881) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 100881) |
| 208600000X Surgery (Licence: GA 100881) | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2024-09-09 |