| NPI | 1255301768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 17752) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 17752) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2021-08-25 |