| NPI | 1922329622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA md460795) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA mt196604) |
| 208600000X Surgery (Licence: PA MD460795) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2018-11-06 |