| NPI | 1710106067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101-256570) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101-256570) |
| 208600000X Surgery (Licence: VA 0101-256570) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-12-11 |