| NPI | 1437266822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX T8915) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX T8915) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD440971) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2022-11-11 |