| NPI | 1265643985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SD 8762) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 42677) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 31426) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-07-12 |