| NPI | 1437142569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 25227) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: GA 25227) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2026-03-05 |