| NPI | 1316977838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 50804) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 242607) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX P9091) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-05-30 |