| NPI | 1417053869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX S6233) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 42328) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 42328) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2022-05-03 |