| NPI | 1073581922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD61362954) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TN 25480) |
| 208600000X Surgery (Licence: TN 25480) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 25480) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2023-03-06 |