| NPI | 1013166883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35131831) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35131831) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2020-10-27 |