| NPI | 1578647681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN MD37845) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD37845) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-03-23 |