| NPI | 1790806578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AL 1495) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: AL DO.1495) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 19038) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-05-27 |