| NPI | 1215910898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 34129) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 81526) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 00016388) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2024-03-26 |