| NPI | 1770133969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 71296) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 281177) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2022-11-29 |