| NPI | 1417105149 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 67822-20)  | 
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WI 67822-20)  | 
| 208600000X Surgery (Licence: IL 126064168)  | |
| Enumeration Date | 2008-09-06 | 
| Last Update Date | 2021-01-27 |