| NPI | 1073557757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA 39921) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 31263) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G50089) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-07-25 |