| NPI | 1609807973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OR MD174787) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G82268) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G82268) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-11-11 |