| NPI | 1659599314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 04-32096) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 0432096) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2022-12-30 |