| NPI | 1467687897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.126463) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A158674) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2021-05-07 |