| NPI | 1720081243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: UT 13076265-1205) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2004010713) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2004010713) | |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2022-12-28 |