| NPI | 1285084814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.151121) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R-10633) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2024-06-26 |