| NPI | 1457519837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX U1229) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 149176) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2024-03-13 |