| NPI | 1487845509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101255513) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA L-214641) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2021-08-24 |