| NPI | 1609303171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX V0046) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TX BP10060549) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2024-07-16 |