| NPI | 1457909160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX 47537) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: CA SPI601) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA SPI601) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2021-12-08 |