| NPI | 1215071527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 049484) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 30076) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 30076) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-07-02 |