| NPI | 1720064207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MN 53717) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA MD.201353) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ME 018221) | |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2018-11-15 |