| NPI | 1083875058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 2015-01140) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL 30838) |
| 208600000X Surgery (Licence: NC 2015-01140) | |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2020-10-25 |