| NPI | 1346282928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO DR.76254) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NM 2003-0489) |
| 208600000X Surgery (Licence: GA 65673) | |
| 208600000X Surgery (Licence: NM 2003-0489) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 65673) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2025-12-29 |