| NPI | 1790096204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 55443) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 55443) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2020-08-20 |