| NPI | 1760748008 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MT 127761)  | 
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WI 73952)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT MED-PHYS-LIC-127761)  | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 73952)  | |
| Enumeration Date | 2012-04-11 | 
| Last Update Date | 2023-11-02 |