| NPI | 1164511200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX N5416) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2017007403) |
| 208600000X Surgery (Licence: FL TRN8846) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2017007403) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-01-28 |