| NPI | 1326066648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KY 28832) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: KY 28832) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 28832) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-06-10 |