| NPI | 1326087990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD462165) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D47828) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-11-13 |