| NPI | 1164797684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A140225) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A140225) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2020-08-12 |