| NPI | 1326038555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WY 11195A) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 29696) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO 29696) | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2021-04-05 |