| NPI | 1609802552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G87135) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G87135) |
| 208600000X Surgery (Licence: CA G87135) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA G87135) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: CA G87135) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: CA G87135) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-09-11 |