| NPI | 1023087764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2014009226) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 40602) |
| 208600000X Surgery (Licence: MO 2014009226) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2024-07-25 |