| NPI | 1992298319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA 191406) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT214920) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2024-03-20 |