| NPI | 1033173463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301117075) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301117075) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME102425) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2019-04-26 |