| NPI | 1497750855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202K00000X Phlebology (Licence: MO 0054) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 118143) |
| 208600000X Surgery (Licence: MO 118143) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2026-07-16 |