| NPI | 1255778403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD467386) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 44716) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2020-10-26 |