| NPI | 1457782559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 04-45705) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT205063) |
| Enumeration Date | 2013-11-28 |
| Last Update Date | 2022-01-13 |