| NPI | 1497728547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: AL 29130) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME94294) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME94294) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2023-06-29 |