| NPI | 1265627384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101284997) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT196091) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 2014-01272) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD449843) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2025-03-21 |