| NPI | 1114005873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA AFE85512) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60488619) |
| 208600000X Surgery (Licence: OR MD166937) | |
| 208600000X Surgery (Licence: CA A65512) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: WA MD60488619) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: CA AFE65512) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: OR MD166937) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: CA A65512) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD60488619) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OR MD166937) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA AFE65512) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A65512) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-03-01 |