| NPI | 1184074098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 292835) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A160740) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: RI MD19384) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2023-12-08 |