| NPI | 1760459747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 56864) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TN 28075) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY TP765) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2022-10-21 |