| NPI | 1790079325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NE 1040) |
| Additional Taxonomies | 208600000X Surgery (Licence: NE 1040) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 303359) | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2024-03-01 |