| NPI | 1144555723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2017000490) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD438279) |
| 2086X0206X Surgery, Surgical Oncology (Licence: SC 36275) | |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2022-09-02 |