| NPI | 1558524967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME105543) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AZ 36789) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2007012293) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2022-04-08 |