| NPI | 1326468828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: TN 66272) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10050309) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 66272) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TN 66272) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2026-02-17 |