| NPI | 1831586908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101283596) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101283596) |
| 204F00000X Transplant Surgery (Licence: VA 0101283596) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2024-09-24 |