| NPI | 1245203629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NH 14182) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AR E4575) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.061928) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2022-02-01 |