| NPI | 1184828030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 2015-01953) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2015-01953) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-10-25 |