| NPI | 1699888297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 40377) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 21536) |
| 2086S0127X Surgery, Trauma Surgery (Licence: SC 21536) | |
| 2086S0129X (Licence: SC 21536) | |
| 208600000X Surgery (Licence: GA 40377) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 21536) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2025-12-24 |