| NPI | 1154559797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD470215) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 27741) |
| 208600000X Surgery (Licence: PA MT196065) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2021-02-26 |