| NPI | 1679769020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A92408) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A92408) |
| 208600000X Surgery (Licence: MA L-210863) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2024-05-13 |