| NPI | 1295862639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA L-228287) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NH 19829) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2019-09-25 |