| NPI | 1356301691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 19281) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 31391) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 31391) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2026-08-04 |