| NPI | 1730540386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101263081) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101263081) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2025-08-20 |