| NPI | 1306868666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 649) |
| Additional Taxonomies | 208600000X Surgery (Licence: NM A-1348-05) |
| 208600000X Surgery (Licence: OH 34003010) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2024-05-31 |