| NPI | 1073723912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA MD.205166) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA a108728) |
| 208600000X Surgery (Licence: CA a108728) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OK 31221) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-01-08 |