| NPI | 1073607305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101271245) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101271245) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO 43629) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-03-09 |