| NPI | 1174876973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301500788) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301500788) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2019-11-04 |