| NPI | 1780847533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D0102880) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA C175438) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: MD D0102880) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2025-03-19 |