| NPI | 1952337628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA MD-45999) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME 62266) |
| 208600000X Surgery (Licence: IA MD-45999) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2019-04-24 |