| NPI | 1700129772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OK 38118) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL 33940) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 33940) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2021-07-26 |