| NPI | 1083108195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 65914) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 29310) |
| 208600000X Surgery (Licence: MN 65914) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2023-07-12 |