| NPI | 1619921905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 15833) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 15833) |
| 174400000X Specialist (Licence: SC 15833) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: SC 15833) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2024-02-08 |