| NPI | 1851326482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 35461) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX P8300) |
| 2086S0129X Surgery, Vascular Surgery (Licence: TX P8300) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G86803) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX P8300) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-08-02 |