| NPI | 1841294824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101265546) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101265546) |
| 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101265546) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ND 21945) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2025-02-17 |