| NPI | 1578857470 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX S7136) | 
| Additional Taxonomies | 208600000X Surgery (Licence: OK 28598) | 
| 208600000X Surgery (Licence: TX S7136) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX S7136) | |
| Enumeration Date | 2011-06-08 | 
| Last Update Date | 2025-06-12 |