| NPI | 1770799660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: AZ 41460) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: OH 35.088356) |
| 2086S0129X Surgery, Vascular Surgery (Licence: KY C0952) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: ND 19510) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 87379) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY C0952) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2023-12-28 |