| NPI | 1073523205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 054106) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL FL145065) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 14158) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2023-02-22 |