| NPI | 1356342281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 055825) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: GA 055825) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2022-02-08 |