| NPI | 1003822594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OR MD25264) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD25264) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-05-02 |