| NPI | 1851503734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 200200664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200200664) |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: NC 200200664) | |
| 208600000X Surgery (Licence: NC 200200664) | |
| 2086S0129X Surgery Vascular Surgery (Licence: NC 200200664) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2024-07-17 |