| NPI | 1376572867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX K5159) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX K5159) |
| 2086S0129X Surgery, Vascular Surgery (Licence: TX K5159) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-12-20 |