| NPI | 1316971757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35067018S) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 35492) |
| 208600000X Surgery (Licence: OH 35067018S) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 35492) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-10-28 |