| NPI | 1629383922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MS 25068) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 323150) |
| 208600000X Surgery (Licence: MI 4301096532) | |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2021-04-30 |