| NPI | 1881911915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 32614) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL32614) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2021-05-11 |