| NPI | 1245212539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO 59284) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX G2120) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NM 90170) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MT 101130) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2021-11-23 |