| NPI | 1598287138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A199288) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 66108) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 66108) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2024-10-09 |