| NPI | 1497062681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX R0983) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX 42954) |
| 2086S0129X Surgery, Vascular Surgery (Licence: TX 42954) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX 42954) | |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2022-10-19 |