| NPI | 1235442682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OR MD196653) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD196653) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD61116993) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2023-09-21 |