| NPI | 1033182290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101258035) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 42638) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 21559) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 0442249) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2022-05-11 |