| NPI | 1306822945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.077292) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.077292) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.077292) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2022-07-21 |