| NPI | 1427274349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD00048455) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301086400) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-12-20 |