| NPI | 1073568655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 55168) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ME 014598) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MT 70145) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036144421) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2025-02-04 |