| NPI | 1942467642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 57231) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2014025045) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2014025045) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2022-03-22 |