| NPI | 1164872024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NV 26404) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2023019452) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2024-09-17 |