| NPI | 1932173465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202K00000X (Licence: LA MD009804) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 009804) |
| 2086S0129X Surgery, Vascular Surgery (Licence: LA 009804) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 009804) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2023-03-07 |