| NPI | 1952335259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX H6724) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX H6724) |
| 2086S0129X (Licence: TX H6724) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-06-10 |