| NPI | 1649531617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX S3926) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10043017) |
| 208600000X Surgery (Licence: TX S3926) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2024-04-04 |