| NPI | 1942408620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OK 25871) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA MD.203191) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 45377) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-11-13 |