| NPI | 1487742706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: DE C10007577) |
| Additional Taxonomies | 208D00000X General Practice (Licence: DE C10007577) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-08-25 |