| NPI | 1225097488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2020041272) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR E1620) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AR E-1620) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-12-17 |