| NPI | 1114998044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2016-02426) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WI 61348) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 61348-20) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2024-01-23 |