| NPI | 1275581720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 51126) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 23457) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 14891) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-07-28 |