| NPI | 1114193224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2009-01039) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 110607) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA 39612) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2022-09-15 |