| NPI | 1356313449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MT 41984) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 033511) |
| 174400000X Specialist (Licence: CT 033511) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2023-10-04 |