| NPI | 1659380970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX M3080) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX M3080) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 21010) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-06-28 |