| NPI | 1073657235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX Q2138) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 48631) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD448650) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-11-13 |