| NPI | 1689646994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A67588) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2008004459) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-05-28 |