| NPI | 1730433533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD462281) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD462281) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2020-10-09 |