| NPI | 1255489779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 13943) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 13943) |
| 207P00000X Emergency Medicine (Licence: AL 13943) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2021-03-29 |