| NPI | 1073808903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 34.012115) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 34.012115) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2022-07-13 |