| NPI | 1639582786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A190649) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA L-259070) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2024-07-11 |