| NPI | 1619156205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301108525) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 059876) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2022-03-14 |