| NPI | 1184823288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 340138) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301089779) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301089779) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2024-03-12 |