| NPI | 1740453893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 27566) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD428829) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD428829) | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2018-04-05 |