| NPI | 1457510729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX N4891) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME96948) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2022-09-21 |