| NPI | 1982607529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2026035217) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 5020) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WY 6217A) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01089616A) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 5020) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2026-08-10 |