| NPI | 1750434890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NH 17151) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MD D0055670) |
| 2086S0129X Surgery, Vascular Surgery (Licence: AZ 35549) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D0055670) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 35549) | |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2021-09-22 |