| NPI | 1518906825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX N0642) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD047496L) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 28320) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2021-01-29 |