| NPI | 1790799856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX G1567) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX G1567) |
| 208600000X Surgery (Licence: TX G1567) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-09-27 |