| NPI | 1699745232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301063521) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2022-07-19 |