| NPI | 1578678595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX W0185) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 22034) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2025-09-03 |