| NPI | 1407116205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 40928) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL 40928) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2020-07-20 |