| NPI | 1801282272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CO DR.0075928) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO DR.0075928) |
| 208600000X Surgery (Licence: CO DR.0075928) | |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2025-08-06 |