| NPI | 1326332172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 66517) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101265583) |
| 208600000X Surgery (Licence: OH 57.018897) | |
| 208600000X Surgery (Licence: MO 2025039401) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2025-11-26 |