| NPI | 1346535309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: HI 17169) |
| Additional Taxonomies | 208600000X Surgery (Licence: HI 17169) |
| 208D00000X General Practice (Licence: HI MD-17169) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2021-08-17 |