| NPI | 1407221500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX T1848) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10055054) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX T1848) | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2024-06-10 |