| NPI | 1336475904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX R9165) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX R9165) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX 9R9165) | |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2023-05-11 |