| NPI | 1487896833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 85485) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD 8276) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MT209346) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2021-03-16 |