| NPI | 1265492516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D72906) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD029769E) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD029769E) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2022-02-24 |