| NPI | 1881956944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL TRN#15318) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD460901) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2024-02-22 |