| NPI | 1790757847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D59193) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: WI 658) |
| 2086S0129X Surgery, Vascular Surgery (Licence: OH 35093954) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: OK 23209) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 658) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2024-02-07 |