| NPI | 1487033551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A186042) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX R7133) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2025-11-18 |