| NPI | 1659682797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301113679) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 130642) |
| 208600000X Surgery (Licence: MI 4301113679) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2018-12-12 |