| NPI | 1306137666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 313117) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301505573) |
| 208600000X Surgery (Licence: LA 313117) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301505573) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2021-11-16 |