| NPI | 1023210218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 233697) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 233697) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MT185579) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2022-06-09 |