| NPI | 1700050689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A127413) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A127413) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD PendinG) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2025-06-30 |