| NPI | 1689666299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD061781L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD061781L) |
| 208600000X Surgery (Licence: PA MD061781L) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2024-06-24 |