| NPI | 1891131900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX R8773) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP1-0046044) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2023-08-14 |