| NPI | 1609039742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 1609039742) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301091931) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2017-06-13 |