| NPI | 1124087960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX M7420) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 20548) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA 41865) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 57303) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OK 31804) | |
| 208600000X Surgery (Licence: WV 20548) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2024-04-19 |