| NPI | 1164600128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A105537) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301512908) |
| 208600000X Surgery (Licence: CA 3902200X) | |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2024-10-28 |