| NPI | 1184119695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 2017-02639) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NC 2017-02639) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-02-28 |