| NPI | 1821295809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD474738) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D85052) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA TMD005200) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2022-02-15 |