| NPI | 1457330813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: AL 35821) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME 066933) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX T7818) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2022-07-07 |