| NPI | 1245591148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: UT 12266313-1205) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT202081) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MI 4301117437) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301117437) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2023-01-19 |