| NPI | 1770624694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OK 24555) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 24555) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2021-12-30 |