| NPI | 1922067651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: UT 5898858-1205) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: UT 5898858-1205) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2022-08-19 |