| NPI | 1740455229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NV 9677) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: NV 9677) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2022-07-21 |