| NPI | 1558386367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A94125) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A94125) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX V3058) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-08-12 |