| NPI | 1518128479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 91355) |
| Additional Taxonomies | 208600000X Surgery (Licence: DC MD040778) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2022-06-07 |