| NPI | 1578593612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301095326) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A63083) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-03-14 |