| NPI | 1316553878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA 651) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA 651) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-10-16 |