| NPI | 1871872093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX S2526) |
| Additional Taxonomies | 208600000X Surgery (Licence: MS 820-L) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2024-09-09 |