| NPI | 1821241357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD475697) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 238257) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 63262) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2021-11-09 |