| NPI | 1215028402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX 45912) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR E-3474) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AR E-3474) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2018-03-23 |