| NPI | 1881125482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 86217-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 71809) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2025-08-27 |