| NPI | 1689864522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A87174) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: WI 81611) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 81611) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2024-02-23 |