| NPI | 1487660775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 46710) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD03596SE) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV TMP02476) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-08-17 |