| NPI | 1427256163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 74334) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL 36821) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 36821) | |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2020-11-02 |