| NPI | 1093933467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 40706) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC DO40706) |
| 208600000X Surgery (Licence: PA OT012020) | |
| 208600000X Surgery (Licence: MA 248571) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2022-07-21 |