| NPI | 1740307610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: LA 311193) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: LA 311193) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 311193) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 261211) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2019-03-21 |