| NPI | 1518351626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX V9695) |
| Additional Taxonomies | 208600000X Surgery (Licence: MS T-2999) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX V9695) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2025-08-01 |