| NPI | 1932546074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA 172633) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX R5075) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2023-09-13 |