| NPI | 1346350402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301078943) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301078943) |
| 2086S0102X Surgery Surgical Critical Care (Licence: MI 4301078943) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-01-14 |