| NPI | 1952314908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX F7043) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX F7043) |
| 2086S0129X (Licence: TX F7043) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2022-09-01 |