| NPI | 1740353077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 44161) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME83852) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 02113) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-12-08 |