| NPI | 1114009362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101033864) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: VA 0101033864) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 20791) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL ME97567) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-10-15 |