| NPI | 1841373693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 63623) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: MT 5293) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: MT 5293) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: MT 5293) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2021-04-16 |