| NPI | 1528161619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301515937) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D0055464) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 28001) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2026-02-18 |