| NPI | 1225443898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0102207563) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 6882) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 04473) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA OP61140522) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2024-03-21 |