| NPI | 1154734200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 278975) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA L-259521) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A175600) | |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2023-07-13 |