| NPI | 1821376047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101269117) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101269117) |
| 208600000X Surgery (Licence: WI 1821376047) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2025-07-03 |