| NPI | 1659384352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA OS007677L) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 34.009093) |
| 208600000X Surgery (Licence: PA OS007677L) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2023-11-15 |