| NPI | 1851659643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 036.143007) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0116024932) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2021-05-07 |