| NPI | 1932593274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A176485) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A176485) |
| 208600000X Surgery (Licence: OR MD226373) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2025-12-03 |