| NPI | 1528528528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 67668) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 29866) |
| 208600000X Surgery (Licence: MN 67668) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2026-06-16 |