| NPI | 1356556310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 62739) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT 181760) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101252392) | |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2020-08-12 |