| NPI | 1205840444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD479514) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0057767) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D57767) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-10-31 |