| NPI | 1679682181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 9900615) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9900615) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 9900615) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-02-20 |