| NPI | 1578611182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.131184) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TRN10602) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 04-37336) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2022-07-21 |