| NPI | 1326209891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX P7123) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10032225) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2021-03-19 |