| NPI | 1215115993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2019005578) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2019005578) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2019-06-24 |