| NPI | 1699784538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 28894) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN MD39919) |
| 2086S0129X Surgery, Vascular Surgery (Licence: AL 28894) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2019-03-12 |