| NPI | 1760510978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 84224) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A038475) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AR E-16735) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: AR E-16735) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 84224) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2025-07-09 |