| NPI | 1215373717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 04-38626) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 9408082) |
| Enumeration Date | 2013-05-12 |
| Last Update Date | 2021-09-27 |